Management of Inflammatory Breast Cancers in Subsaharian Africa Context
Management of Inflammatory Breast Cancers in Subsaharian Africa Context作者机构：Department of Gynecology and Obstetrics University Hospital of Treichville Abidjan Cote d’Ivoire Department of Gynecology and Obstetrics University Hospital of Bouaké Bouake Cote d’Ivoire
出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)
年 卷 期：2018年第8卷第1期
页 面：20-30页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Inflammatory Brest Cancers Epidemiology Diagnosis Treatment
摘 要：Objective: To report the experience of Gynecology Department of the University Hospital of Treichville in the management of the inflammatory breast cancers. Methodology: We conducted a retrospective and descriptive study on cases of the inflammatory breast cancers managed in the Gynecology Department of the University Hospital of Treichville, from January 2011 to December 2015. Results: We collected 44 cases of inflammatory breast cancer representing 17.9% of all breast cancers. The average age of patients was 46.5 years (32 - 70 years) and among them, the majority had inadequate socioeconomic level (90.9%). The risk factor for cancer found in the majority of patients was the age of first menstrual periods before the age of 12 years (52.3%). The average consultation time was long (10 months) and several patients had extensive inflammatory signs (38.6%), with lymph node involvement (84.1%) and metastases (36.4%). At the histological analysis, the most common type was invasive ductal carcinoma (81.8%), SBR grade III (54.5%). Regarding treatment, mastectomy according to Patey associated with a chemotherapy was performed in 22.7% cases. The evolution has been marked by an overall 5-year survival of 20%. Conclusion: The management of inflammatory breast cancers was late and incomplete in our service making poor prognosis.
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